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The diagnostic challenge of evaluating papilledema in the pediatric patient

Brandon McCafferty1, Collin M McClelland1, Michael S Lee1

  • 1Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN, USA.

Taiwan Journal of Ophthalmology
|October 12, 2017
PubMed

Insights

Differentiating pseudopapilledema from true papilledema in children is crucial. This review offers clinical findings and a diagnostic algorithm to aid clinicians in accurate diagnosis, preventing severe consequences.

Area of Science:

  • Ophthalmology
  • Pediatric Neurology

Background:

  • Pseudopapilledema is common, but misdiagnosis of true papilledema can be dangerous.
  • Accurate differentiation is essential for appropriate patient management.

Purpose of the Study:

  • To provide a diagnostic algorithm for distinguishing pseudopapilledema from papilledema in pediatric patients.
  • To outline clinical evaluation steps once papilledema is diagnosed.

Main Methods:

  • Review of clinical findings associated with pseudopapilledema and papilledema.
  • Development of a diagnostic algorithm for pediatric cases.

Main Results:

  • Detailed description of clinical signs to differentiate the two conditions.
  • A structured approach to diagnosis and subsequent evaluation.

Conclusions:

  • Accurate diagnosis of papilledema in children is critical to avoid adverse outcomes.
  • The proposed algorithm aids clinicians in distinguishing pseudopapilledema from true papilledema.

Keywords:
ChildrenPapilledemaintracranial hypertensionoptic disc drusenpediatricpseudopapilledemapseudotumor cerebri

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